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Contact Information

CANDY PEMBERTON
6255 W TROPICANA AVE
APT 343
LAS VEGAS, NV89103-4603
 Phone: 415-429-9646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CANDY PEMBERTON · (Female)

NPI Number 1497117832
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2016
Last updated 03/24/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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